Abstract

Background: Was the operation time of the second caesarean section affected from the technics of the operation in the first caesarean section. Objectives: We estimated that the operation time in the second caesarean section would be more longer by non-closing of the parietal peritoneum than the closure. Firstly, the non-closure of the parietal peritoneum was seemed to gain time during the first caesarean section. However we compared the operation time of the second caesarean section of non-closure and closure. Study design: This was a retrospective study. The study had two groups of the second caesarean sections of patients who had closure and non- closure of parietal peritoneum in the first caesarean section. The closure of pariatel peritoneum was control group with 1308 patients and the non-closure of any peritoneum was case group with 740 patients. In the both groups, the operation time and the amount of the adhesions of the omentum to the scarpa fascia were compared. Result: The nonclosure of the parietal peritoneum may gain time during the first operation but the nonclosure will casues the more adhesions of omentum to the scarpa fascia and the time of the second repeated caesarean will be longer. For this reason , the recover in second operation will be late in non- closure patients. Conclusion: This study was very important experiment about operation tehcniques with doing the second operation to the same patients. This study should be done in multiple centers with more number of patients in the World.